DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cruz, Nicole Mari R	DOIID	1269252	NAIC NPN	20449551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/17/2023	3/31/2025
Inactive	Non Resident	Agent	Casualty	4/17/2023	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/1/2023	10/11/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/1/2023	10/11/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/1/2023	10/11/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/1/2023	10/11/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/1/2023	10/11/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/1/2023	10/11/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	5/1/2023	10/11/2023
Inactive	Goosehead Insurance Agency, Llc	971836	Agent - Property	5/1/2023	10/11/2023
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Casualty	5/1/2023	10/11/2023
Inactive	Texas Wasatch Insurance Services LP	990805	Agent - Property	5/1/2023	10/11/2023